NPI | 1003202680 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS EDWARD TRITTSCHUH Program Director 419-295-2122 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 13116) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2015-04-10 |